Targeted case management, monthly

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB-Targeted Case Mgmt per Month

Payers reporting HCPCS T2023

Payer pricing summary

Low

Average

$229

Median

$198

High

$1.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	24	$200	$437	$428	98%	—	$79 – $2.0k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	22	$310	$351	$162	46%	—	$246 – $907
3	Molina facility · case rate · outpatient · +7 other terms	14	$43	$50	$14	28%	—	$36 – $83
4	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	12	$187	$187	—	—	—	$187 – $187
5	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms	12	$75	$75	—	—	—	$75 – $75
6	Cigna professional · fee schedule · outpatient · +7 other terms	9	$18	$23	$10	43%	—	$18 – $43
7	Humana fee schedule · outpatient · +7 other terms	9	$200	$148	$58	39%	—	$82 – $200
8	UnitedHealthcare fee schedule · outpatient · +10 other terms	9	$578	$356	$248	70%	—	$79 – $578
9	Ambetter other · outpatient · +1 other terms	8	$1.3k	$1.3k	$80	6%	—	$1.0k – $1.4k
10	Anthem other · outpatient · +9 other terms	8	$691	$691	—	—	—	$691 – $691
11	Bcbs Mn fee schedule · both · +2 other terms	8	$248	$248	$2	1%	—	$246 – $250
12	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$206	$206	—	—	—	$206 – $206
13	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$40	$40	$1	3%	—	$40 – $43
14	Caresource other · outpatient · +1 other terms	6	$1.2k	$1.3k	$51	4%	—	$1.2k – $1.4k
15	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$481	$481	$129	27%	—	$256 – $653
16	First Health professional · fee schedule · both · +1 other terms	3	$220	$220	—	—	—	$220 – $220
17	Wellmark facility · case rate · outpatient	3	$140	$123	$39	32%	—	$57 – $155
18	Healthpartners professional · fee schedule · both · +1 other terms	2	$55	$55	—	—	—	$55 – $55
19	Medicaid facility · case rate · outpatient	2	$36	$36	—	—	—	$36 – $36
20	Optum facility · case rate · outpatient · +4 other terms	2	$34	$34	—	—	—	$34 – $34
21	Sanford Health Plan professional · percent of total billed charges · bothfrom % of charges	2	$129	$129	—	—	—	$129 – $129
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Vt professional · fee schedule · both · +1 other terms	1	$113	$113	—	—	—	$113 – $113
24	Devoted percent of total billed chargesfrom % of charges · +1 other terms	1	$331	$331	—	—	—	$331 – $331
25	Excellus professional · percent of total billed charges · bothfrom % of charges	1	$105	$105	—	—	—	$105 – $105

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